SMITH & NEPHEW, INC.

• SMITH & NEPHEW, INC. $2,880,000 In-house, the client's own filings · 7 filings
• THE NICKLES GROUP, LLC $420,000 Outside firm · 7 filings
• CORNERSTONE GOVERNMENT AFFAIRS, INC. $170,000 Outside firm · 7 filings
• HOGAN LOVELLS CADWALADER US LLP (FKA HOGAN LOVELLS US LLP) $0 Outside firm · 7 filings

Spend per registrant: fees an outside firm reported, or the costs the client reported for lobbying in-house. The rows add up to the total above.

• H.R. 1
  One Big Beautiful Bill Act
  10 filings
• H.R. 1931
  Access to Pediatric Technologies Act of 2025
  8 filings
• S. 249
  Access to Pediatric Technologies Act of 2025
  8 filings
• S. 2561
  Skin Substitute Access and Payment Reform Act of 2025
  5 filings
• H.R. 5768
  Skin Substitute Access and Payment Reform Act
  4 filings
• H.R. 2423
  Unfair Tax Prevention Act
  1 filing
• H.R. 591
  Defending American Jobs and Investment Act
  1 filing
• H.R. 6852
  Advanced Wound Care and Regenerative Medicine Access and Reform Act
  1 filing

• 2026 $1,660,000 12 filings
• 2025 $1,810,000 16 filings

• Defense 14
• Medicare/Medicaid 14
• Trade (domestic/foreign) 14
• Taxation/Internal Revenue Code 13
• Budget/Appropriations 7
• Health Issues 7
• Medical/Disease Research/Clinical Labs 7
• Environment/Superfund 3

The count is how many filings named that issue area. A filing reports one lump figure covering every issue on it, so the money above cannot be split between them.

• HOUSE OF REPRESENTATIVES 21
• SENATE 21
• Centers For Medicare and Medicaid Services (CMS) 9
• Health & Human Services, Dept of (HHS) 7
• Defense, Dept of (DOD) 6
• Executive Office of the President (EOP) 6
• Office of Management & Budget (OMB) 6
• Treasury, Dept of 6
• U.S. Trade Representative (USTR) 3
• Food & Drug Administration (FDA) 2